Is it possible to replace fat loss in deep medial cheek? (photo)

Question

I’m not sure if it’s to do with ageing as I’m only 22 or fast weight loss last year but I seem to have lost most of the fat in what I believe the deep medial cheek area. Because of this there is no anterior projection of my face just flat from my cheekbone, this flatness offers no support to the fat in my lower cheek and therefore looks really prominent in my lower face. IS it possible to regain fat in this area? I’ve added a few photos to hopefully make the problem clear. Thanks.

Jason Emer, MD · Answer

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Kevin Tehrani, MD, FACS · Answer

Thank you for your photos and question! It is normal after weight loss to loose fat in your face and notice hollowness in the cheeks. This can be treated with a filler such as Voluma or Radiesse injected to the mid face to help fill in the cheeks and make your lower face look less heavy. If you like the look of the filler, you could always consider a fat transfer to the face which would require a small trip to the operating room. I recommend seeing a board certified plastic surgeon in person to discuss your concerns and plan the right treatment for you.

Mats Hagstrom, MD (license on probation) · Answer

each one of us has a unique look. The primary under lying structure is giving us that look is based on the facial skeleton.  As we age we develop soft tissue changes but in young people unless there's obesity or someone is grossly malnourished their  look is based on their facial skeleton.  In your case you lack adequate projection of your maxilla or Midface.  And someone your age it's not a lack of fat.  Granted if you were overweight at a younger age then this area may have looked a little fuller because of obesity.   People with this facial contour will sometimes develop premature protrusion of lower eyelid fat pads giving a tired look.  Treatment options include fillers, implants, mid face lift and fat transfer.  In general I would reassure young good looking men to not focus so much on what their face looks like but rather except who you are and go on a live life.  If you're going to have any type of treatment for this then I would recommend staying with fillers.  If you don't like the temporary nature of this then consider starting with short acting fillers and work your way up to longer lasting ones.  Fillers like Bellafill can last five years.  That transfer may seem like a better option because it's permanent but if you're not happy with the results which happens a little bit too often for my liking then you would regret having had anything done and will be unreal self asking how you can have the fat removed.  Implants used to be more popular but with so many great fillers to use this procedure as last favor to some degree.  Mid facelifts seemed more popular in the 1990s.  It's a highly invasive procedure that I would not recommend.  My recommendation is to do nothing but that's just my opinion.  Best, Mats Hagstrom M.D.

Is it possible to replace fat loss in deep medial cheek? (photo)

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Is it possible to replace fat loss in deep medial cheek? (photo)

Answers (3)

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Everything you need to know about Facial Fat Transfer

Our mission is to create a world where every investment in modern beauty is Worth It.